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AHIMA CDIP Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Research & Education | 11–15% | - Regulatory and guideline updates - Documentation improvement training materials - Best practice research and implementation - Provider and staff education |
| Topic 2: CDI Metrics & Statistics | 14–18% | - DRG comparison and denial analysis - Query response and volume tracking - Benchmarking and reporting - Quality audits and compliance monitoring |
| Topic 3: Clinical Coding Practice | 22–26% | - Payer requirements and reimbursement models - Principal and secondary diagnosis identification - ICD-10-CM/PCS coding conventions and guidelines - Coding software and reference resources - DRG, CPT, and HCPCS code assignment |
| Topic 4: Record Review & Document Clarification | 24–28% | - Query tracking and follow-up - POA, HAC, SOI, ROM clarification - Compliance with query standards - Identify documentation gaps and specificity issues - Ethical provider query development |
| Topic 5: Compliance | 4–8% | - Compliance monitoring and reporting - AHIMA standards and regulatory requirements - Legal and ethical documentation practices - Fraud and abuse prevention |
| Topic 6: Leadership | 17–22% | - CDI program development and promotion - Provider engagement and communication - Policy and procedure creation - Interdisciplinary collaboration |
AHIMA Certified Documentation Integrity Practitioner Sample Questions:
1. What policies should query professionals follow?
A) Their healthcare entity's internal policies related to querying
B) AHIMA's policies related to querying
C) CMS's policies related to querying
D) All healthcare entity's policies are the same
2. After one year, the clinical documentation integrity (CDI) program has become stagnant, and the manager plans to reinvigorate the program to better reflect the CDI efforts in the organization. What can the manager do to ensure program success?
A) Expand the CDI program to larger areas in outpatient clinics
B) Prioritize to focus on efforts with the largest return on investment
C) Establish a CDI steering committee to build a strong foundation
D) Identify key metrics to develop program measures for coders
3. A patient's progress note states "The patient has chronic systolic heart failure". After reviewing clinical indicators suggestive of an exacerbation of systolic heart failure, the clinical documentation integrity practitioner (CDIP) queries the physician to clarify the current acuity of the diagnosis. Which subsequent documentation in the health record suggests the provider did not understand the query?
A) The patient has acute on chronic systolic heart failure.
B) The patient has chronic systolic heart failure.
C) The patient has decompensated systolic heart failure.
D) The patient did have an exacerbation of heart failure.
4. The correct coding for insertion of a dialysis catheter into the right internal jugular vein with the tip ending in the cavoatrial junction is
A) 05HM33Z Insertion of infusion device into right internal jugular vein, percutaneous approach
B) 02HV33Z Insertion of infusion device into superior vena cava, percutaneous approach
C) 02H633Z Insertion of infusion device into right atrium, percutaneous approach
D) 05HP33Z Insertion of infusion device into right external jugular vein, percutaneous approach
5. The provider was queried because the patient met clinical criteria for acute hypoxic respiratory failure. The response to the query was different than what was expected by the clinical documentation integrity practitioner (CDIP). What should the CDIP do?
A) Have a different CDIP query the provider
B) Record the query response as disagreed
C) Revise the query and send it back to the provider
D) Implement the department's escalation process
Solutions:
| Question # 1 Answer: A | Question # 2 Answer: C | Question # 3 Answer: B | Question # 4 Answer: A | Question # 5 Answer: D |



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